Bridle, Leisa

Bridle, Leisa is an individual health care provider with primary practice located at 411 E Market St , Akron OH 44304-1542. She recently has only one registered license in Nursing Service Providers / Nephrology, which is considered as her primary health care specialty. Bridle, Leisa can be contacted via phone (330) 252-0600.

Contact Information

Primary practice address
411 E Market St Akron OH 44304-1542
Fax: (330) 252-0700
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Nephrology 163WN0300X NP07291 Ohio

Profile Details

NPI number 1750383675
LBN Legal business name Bridle, Leisa
Credentials MSN, CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Nov 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750383675 NPPES
Ohio MEDICAID 2380990

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